Provider Demographics
NPI:1164430146
Name:FREIWALD, ERIC ALBERT (DPM)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:ALBERT
Last Name:FREIWALD
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4232 BROWNSVILLE ROAD
Mailing Address - Street 2:SUITE #333
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15227
Mailing Address - Country:US
Mailing Address - Phone:412-881-5989
Mailing Address - Fax:412-881-0535
Practice Address - Street 1:4232 BROWNSVILLE RD
Practice Address - Street 2:SUITE #333
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15227-3330
Practice Address - Country:US
Practice Address - Phone:412-881-5989
Practice Address - Fax:412-881-0535
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2011-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC004295L213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0018798500002Medicaid
U70076Medicare UPIN
PA0018798500002Medicaid